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This article is sponsored by Axxess. This article is based on a discussion with Fred Bentley, Managing Director for Medicare Innovation and ATI Advisory, Allison Silvers, Chief of Healthcare Transformation at the Center to Advance Palliative Care and Ryan Klaustermeier, Vice President of Professional Services at Axxess. The conversation took place on April 20, 2023 during the Hospice News Palliative Care Conference. The article below has been edited for length and clarity.
Hospice News: Medicare Advantage comes up a lot in discussions at palliative care but that is not the only avenue for reimbursement. We have a wonderful panel I’m pleased to introduce. We spoke earlier about Medicare Advantage. What other CMI models have the potential to support palliative care or help it grow? Fred, would you start with this one?
Fred Bentley: I think the two most obvious and the ones we’ll probably spend the bulk of our time talking about are the Accountable Care Organization models, the ACO models. There’s the Medicare Shared Savings Program, MSSP, which has been around for over a decade now, and is the most common type of ACO out there. You will also probably have heard of the REACH or ACO REACH program, which is building off of what was called the Direct Contracting Program.